Lakeshore Medical Clinic, LLC

NPI #1922356252 in Muskego, Wisconsin

Provider Information

NPI Number: 1922356252
Entity Type: Organization
Organization Name: Lakeshore Medical Clinic, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Aug 16, 2012
Last Updated: Oct 14, 2025

Practice Location

Address: S68W15500 JANESVILLE RD
City: Muskego
State: Wisconsin
ZIP Code: 53150-2613
Phone: (414) 764-3241

Authorized Official

Name: KARA RICHARDSON
Title: ASST TREASURER
Phone: (704) 631-0450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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